Individual
CHARITO JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1060 S WHITE RD STE C, SAN JOSE, CA 95127-3820
(408) 259-7995
(408) 259-8124
Mailing address
1060 S WHITE RD STE C, SAN JOSE, CA 95127-3820
(408) 259-7995
(408) 259-8124
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37564
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
520291
DENTICAL PIN NUMBER
CA
Enumeration date
11/01/2006
Last updated
07/08/2007
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